PART 1: PERFORMANCE IN PHASES OF THE INTERVIEW INTRODUCTORY PHASE Introduces self to Does not introduce themselves to CRITERIA Calls by name, how are you? smiles, handshake & sees to seat. Considers an environment conducive to effective counseling Seeks clarification from for the reason for the interview Assists to clarify issues Effectively explains the structure the interview will take with Establishes rapport with Chats about the weather, finding the room, s comfort level, but does not address purposerelated issues OR makes no attempt to establish rapport Responds inaccurately to many questions/concerns OR provides confusing explanations. Ignores questions/concerns outside of scope. Misses cues; asks questions and seeks information but does not recognise opportunities to follow up issues. Asks closed questions e.g. How do you feel about that but demonstrating little impact of s statements of barriers to change Makes no attempt to explain Listens to views but does not attend to the message Addresses purpose-related issues in a brief way, mostly informal chat as a minimum standard Responds to most concerns within scope of practice, although may lack clarity on some points. Refers to others for questions/concerns outside of scope. Acknowledges cues; listens actively, responds to questions but does not seek clarification OR probe for further information. Makes good attempts to obtain s viewpoint and consider barriers to change and interacts Good explanation of interview process and structure Listens to views and attends to the message
PHASE Identifies the s level of prior knowledge Assists to clarify dietary intake. Identifies food habits, food intake and nutrient intake patterns Accurately assesses clinical, biochemical and biomedical markers according to reference ranges Assesses anthropometric and other body composition data using suitable methods, and is able to interpret for the Accurately assesses relevant food intake data qualitatively Accurately assesses relevant food intake data quantitatively Identifies social, psychological, environmental, economic and personal data, relevant to plan nutritional management Defines and explains appropriate nutritional problems to the Articulates suitable nutritional diagnoses Asks closed questions e.g. Do you understand? with minimal impact of s responses OR Ignores the issue OR talks regardless OR talks down to the OR uses jargon without noting impact on the. Asks for minimal clarification of information provided & assumes details. OR Does not ask about types of foods, e.g. specific varieties; asks about all foods with equal importance, no obvious focus. Asks for some information, but information is incomplete OR accepts data on referral without clarification Records information offered by the or provided but seeks no further clarification Uses core food groups (CFGs) to interpret food intake but misses significant items, so that unable to distinguish key areas of concern Is only able to quantify macronutrients & energy so that Energy and macronutrients are > OR < 25% of estimated amounts OR can only correctly target a limited number of nutrients for goals & strategies Accepts data on referral with no clarification; does not ask about data OR collects some data but incompletely Provides general facts only about nutrition and disease OR Does not provide any information OR provides incorrect or inappropriate information Provides a nutritional diagnosis but does not use the PESS* statement (problem, etiology, signs & symptoms) OR makes the wrong nutritional diagnosis Questions the s life story for clues to cognitive level, including education & leisure activities, previous knowledge & understanding of relevant nutritional issues. General approach to foods/nutrients during the diet history & checklist; gathers enough info to later calculate required information. Type of food, can provide feedback/description to that, asks pertinent information only. Clarifies referral for correctness of information, asks for relevant data that are on referral. May request other information Asks for most information suitable to case, & interprets accurately Can identify major food items correctly using core food groups (CFGs) & attempts to interpret against Nutrient Reference Values, to target key areas for change Is able to quantify macronutrients & energy within 20% of correct estimation & correctly targets appropriate nutrients for goals & strategies Clarifies referral for correctness of information, asks for relevant information/issues that are not provided particularly any which may impact on nutritional management Provides mostly logical and concise verbal explanation demonstrating very good understanding and ability to translate concepts into language that is suited to the s level of understanding and psycho social factors Is able to define nutrition problem correctly including etiology, signs & symptoms
EDUCATION/NUTRITION COUNSELLING PHASE Explains diet-disease relationship Accurately prioritises areas of nutritional concern Develops a dietary prescription that is accurate Develops a dietary prescription that is centered Identifies and negotiates realistic, -oriented goals and strategies Identifies nutrition outcome measures and performance indicators Identifies barriers to the resolution of problems Engages in all discussion and responds to concerns Provides general facts only about nutrition and disease OR Does not provide any information OR provides incorrect or inappropriate information Is unable to formulate appropriate priorities for this OR Uses generic statements without reference to the s individual needs Gives general advice only when more is needed OR Gives non-specific information, without consideration of the overall lifestyle, & without quantified justification As above Gives non-specific information, without consideration of the overall lifestyle, & without quantified justification Does not identify outcome measures OR identifies incorrect outcome measures Asks closed questions e.g. How do you feel about that but demonstrating little impact of s statements of barriers to change OR makes no attempt to engage in this discussion Is unable to engage in discussion to address concerns Provides mostly logical and concise verbal explanation demonstrating very good understanding and ability to translate concepts into language that is suited to the s level of understanding and psycho social factors Prioritises areas of nutritional concern, taking into account treatment priorities identified from the s needs & literature recommendations Constructs approximately three (3) food & lifestyle strategies for each goal and negotiates at least one (1) strategy OR modifies the existing strategies specifically for this with quantified justification, which is partly linked to diet history As above Uses assessment conclusions to formulate 2-3 specific nutrition goals for this, which are partly linked to the PESS statement and are mostly correct but may include medical goals Identifies outcome measures linked to goals with a time frame for measurement s opinions and is able to take them and barriers to change into account s opinions and responds in line with nutrition problems Effectively listens throughout the consultation Communicates in a way, which respects customs of culture. Uses socially and culturally appropriate strategies Listens to views but does not attend to the message OR ignores views Ignores cues and uses inappropriate language for age, gender and cultural background of Listens to views and attends to the message Uses both verbal and non-verbal, and discusses the s situation in an effort to truly understand the s circumstances How does the see, feel and hear the world
CONCLUDING PHASE Appropriate summation of take-home messages Evaluates process of the consultation with Evaluates impact (or outcomes) of consultation with Is unable to summarise take-home messages OR does not articulate clear take-home messages Does not check understanding OR reinforce take-home messages Is unable to explain what is expected by next visit and subsequent visits Summarises main goals and strategies into clear take-home messages maximum 3 Checks understanding of takehome messages and reinforces messages Clearly articulates expectations for follow up and outcomes expected Determines a time-frame for follow-up Closes the interview Interview completed in appropriate timeframe Cannot explain clearly a follow up time frame Abrupt closure OR No closure, focus on notes or other tasks. >45 minutes OR less than 15 minutes Follow up clearly articulated and linked to outcome measures Thanks for cooperation (as appropriate), invites last-minute questions, provides contact details for follow-up (where appropriate), informs what to expect next, leaves on a positive note. 20-40 minutes *PESS statement as per International Dietetics and Nutrition Terminology
PART 2: PERFORMANCE IN OVERALL COMMUNICATION SKILLS Throughout the interview, the way in which the candidate communicates with the and how the interview is managed will have a significant impact on interview outcomes. Please comment on the specific skills in -centred management. COMPETENCY Clarifies s understanding throughout Uses English that is able to be able to be understood by the Respects s values and point of view Effectively responds to cues in developing discussion Uses appropriate verbal Uses appropriate non-verbal Negotiates effectively with the to achieve health outcomes Maintains direction of interview Ignores the issue OR talks regardless OR talks down to the OR uses jargon without noting impact on the Client finds it difficult to understand and often asks for repetition Does not seek viewpoint OR ignores s attempts to explain point of view Misses cues; asks questions and seeks information but does not recognise opportunities to follow up issues OR blocks cues Does not clarify responses. Multiple inappropriate verbal responses OR Asks but no follow up OR. Limited inappropriate verbal Multiple inappropriate non-verbal responses OR Limited inappropriate non-verbal Is unable to negotiate effectively to achieve outcomes No structure evident; general conversation, leading the interviewer, OR interviewer at a loss as to what to do. Asks specifically what the knows about the condition/disease, what information has been supplied by a medical practitioner, and other sources of relevant information Conversation flows well and is understood by and moderator s opinions and is able to take them into account Utilises cues in developing conversation and s understanding; listens actively to ; probes and rephrases. Allows participation Asks for open explanations (questions) & offers statement/s compatible with true understanding of the s situation, conversational style. No obvious inappropriate No obvious inappropriate and conveys understanding of s situation Negotiates at least 2 outcomes Structure evident; some overlapping of stages if any clarification is needed by the it is only minor Manages the interview Disjointed interview with not at ease OR does not respond to cues by leading to unclear direction of interview and outcomes Responds, maintains direction, ensures is at ease at all times